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Sadro Claudia - - 2012
The pregnant trauma patient requires imaging tests to diagnose maternal injuries and diagnostic tests to evaluate the viability of her pregnancy. This article will discuss abdominal trauma in pregnancy and the specific role of diagnostic imaging. Radiation concerns in pregnancy will be addressed. Trauma is the leading cause of nonobstetric ...
Einav Sharon - - 2013
Approximately 1% to 4% of pregnant women are evaluated in emergency/delivery room because of traumatic injury, yet there are few educational strategies targeted toward prevention/management of maternal trauma. Use of illicit drugs and alcohol, domestic abuse, and depression contribute to maternal trauma; thus a high index of suspicion should be ...
Raja Ali S - - 2012
The treatment of pregnant patients with traumatic injuries requires knowledge of the fundamentals of general trauma management as well as the specific anatomic and physiologic changes brought about by pregnancy. This article provides a review of the spectrum of trauma prevention and treatment in pregnant women, from counseling strategies that ...
Kuypers Elke - - 2012
Chorioamnionitis and fetal sepsis can induce a fetal inflammatory response syndrome (FIRS) which is closely related to the development of white matter injury in the fetal brain. Large epidemiological studies support the link between FIRS and fetal brain injury with a clear association between the presence of in utero inflammation ...
Hirsch Irvin H - - 2012
Over the past 3 decades significant therapeutic inroads have allowed spinal cord injured men to achieve biologic paternity. Prior to the introduction of electroejaculation in the mid-1980's, men with spinal cord injury were considered "hopelessly infertile". With the application of semen retrieval techniques such as electroejaculation (used to achieve the ...
Leduc Bernard E - - 2012
The majority of men with a spinal cord injury (SCI) are infertile due to ejaculatory dysfunction and poor semen quality. The goal of this retrospective study is to present the outcomes of assisted reproductive technology (ART) in a group of couples with SCI male partners. A review was conducted of ...
Balkawade Nilesh Unmesh - - 2012
To study the correlation of umbilical cord length with fetal parameters like Apgar score, sex, weight, and length, and its effect on labor outcome. Prospective study of 1,000 cases. Government Hospital. Examination of umbilical cord was done for any loop around neck, trunk, etc; no. of loops of cord and ...
Taylor Peter N PN Thyroid Research Group, Institute of Experimental and Molecular Medicine, School of Medicine, Cardiff University, Cardiff, London ; London School of Hygiene and Tropical Medicine, - - 2012
Hyperthyroidism in pregnancy is a serious condition and its management is complex. Whilst carbimazole/methimazole (CBZ/MMI) and propylthiouracil (PTU) have similar efficacies in controlling hyperthyroidism, their risk of side effects such as major congenital abnormalities and hepatotoxicity are different. Various combinations of the terms 'anti-thyroid drugs', 'thionamide', 'carbimazole', 'methimazole', 'propylthiouracil', 'pregnancy', ...
Chan Joanna Sue Yee - - 2012
Abstract Umbilical cord complications (CC) such as true knots (TK), velamentous insertion (VEL), entanglement (CE), excessive cord length (ELUC), or excessive coiling (ETUC) can lead to decreased umbilical blood flow and have been associated with adverse fetal outcome and demise (IUFD). Few large series exist correlating CC with specific pathologic ...
Potdar Neelam - - 2012
Mechanical endometrial injury (biopsy/scratch or hysteroscopy) in the cycle preceding ovarian stimulation for IVF has been proposed to improve implantation in women with unexplained recurrent implantation failure (RIF). This is a systematic review and meta-analysis of studies comparing the efficacy of endometrial injury versus no intervention in women with RIF ...
Cheng Han-Tsung - - 2012
BACKGROUND: Serious injury during pregnancy is known to cause adverse maternal outcomes. However, the significance of minor injuries in adverse maternal outcomes requires clarification because most injuries sustained during pregnancy are minor ones. METHODS: Two population-based databases (inpatient and ambulatory care) were used to identify pregnant women who had severe ...
Shekhar Shashank S Department of Obstetrics and Gynecology, Dr. Rajendra Prasad Govt. Medical College Tanda, Set No 27, Block E, Type IV, Kangra, Himachal Pradesh 176001 - - 2013
To compare maternal and neonatal effects of assisted vaginal delivery by forceps and vacuum extraction. A prospective randomized study. One hundred eligible women requiring assisted vaginal delivery in the second stage of labor were randomized to deliver by forceps or vacuum extraction. All of those allocated to forceps delivery actually ...
Matthews Bj - - 2012
Abstract To assess potential risk factors for differences between predicted and actual calving dates in Holstein-Friesian cows in seasonal calving dairy herds where predicted dates are based on fetal ages estimated using manual rectal palpation. Accuracy of predicted calving dates was assessed in 10,487 Holstein-Friesian dairy cows that were diagnosed ...
Aghsa Malek-Mansour - - 2012
PURPOSE: This study compares the efficacy, side effects and patient convenience of vaginal and rectal routes of administration of progesterone suppositories (Cyclogest) when used for luteal phase support during in vitro fertilization cycles, through the use of antagonist protocols. METHODS: 147 patients who underwent intra-cytoplasmic sperm injection cycle were randomized ...
Prakash J - - 2012
The spectrum of kidney disease occurring during pregnancy includes preeclampsia, hypertensive disorders of pregnancy, urinary tract infection, acute kidney injury, and renal cortical necrosis (RCN). Preeclampsia affects approximately 3-5% of pregnancies. We observed preeclampsia in 5.8% of pregnancies, and 2.38% of our preeclamptic women developed eclampsia. Severe preeclampsia and the ...
Kai K - - 2012
To report a case of a pregnant woman with traumatic spinal cord injury complicated with a psychiatric disorder. A 24-year-old woman at 18 weeks of gestation was transferred to our hospital with a history of having jumped from a third-floor apartment patio. A trauma survey showed no life-threatening hemorrhage, and ...
Vladutiu Catherine J - - 2012
Motor vehicle crashes during pregnancy are the leading cause of traumatic fetal mortality and serious maternal injury morbidity and mortality in the United States, injuring approximately 92,500 pregnant women each year. Little is known about the circumstances surrounding these crash events and the maternal characteristics that may increase women's vulnerability ...
Vaidya Bijay - - 2011
Background: Maternal hypothyroidism in pregnancy is associated with several adverse outcomes. The Endocrine Society guidelines for the management of thyroid diseases in pregnancy were published in 2007; however, impact of the guidelines in the routine clinical practice is unknown. Therefore, we have carried out a survey of members of the ...
Dichtel Laura E - - 2011
PURPOSE OF REVIEW: Thyroid disease is common during pregnancy. There are multiple alterations in maternal thyroid physiology, leading to an increased demand for thyroid hormone during gestation, that have significant implications for both maternal and fetal health. Importantly, pregnant reference ranges must be used for appropriate diagnosis and treatment of ...
Stagnaro-Green Alex - - 2011
The present manuscript provides a definition for, and evaluates the prevalence and maternal/fetal/child impact of, overt hyperthyroidism and overt hypothyroidism. The prevalence of overt hyperthyroidism is 0.5% and the prevalence of overt hyperthyroidism is 0.3%. Overt maternal hyperthyroidism is associated with heart failure, preeclampsia, preterm delivery, still birth, and neonatal ...
Milanesi Anna - - 2011
PURPOSE OF REVIEW: Examine recent studies on the assessment of thyroid status in pregnancy, approach to thyroid testing, the spectrum of hypothyroidism in pregnancy, and strategies for thyroid replacement in women with known hypothyroidism. RECENT FINDINGS: Trimester-specific references range for thyroid-stimulating hormone (TSH) and free thyroxine in pregnancy must take ...
Wang S - - 2011
Background Maternal hypothyroidism (OH and SCH) during early pregnancy is suspected to associate with adverse obstetrical outcomes. Aim The aim of the present study was to investigate whether maternal subclinical hypothyroidism during the early stage of pregnancy increase obstetrical complications and whether treatment results in an improvement in these outcomes. ...
Razeghinejad M Reza - - 2011
Glaucoma, primarily a disease of the older population, may affect women of childbearing age. Pregnancy affects the intraocular pressure (IOP) of women with pre-existing glaucoma. Both elevations and reductions of IOP have been reported during pregnancy. Additionally, visual field test results may fluctuate during pregnancy. In managing the pregnant glaucoma ...
Sijanovic Sinisa - - 2011
This case report describes a case of heterotopic cervical ectopic pregnancy in a nulliparous woman that was successfully treated with single-dose local, intra-amniotic methotrexate injection in the gestational sac. Pregnancy was achieved spontaneously. The patient had previously undergone hysteroscopic myomectomy. By using local, single-dose treatment we avoided the continued effects ...
Aboulfoutouh Ismail I - - 2011
Introduction. Cervical twin ectopic pregnancy after IVF-ET is rare and catastrophic complication. However, here is no consensus on the best treatment strategy. Patient and method. Case report of cervical twin ectopic pregnancy after IVF-ET treated by transvaginal ultrasound-guided aspiration plus systemic single injection of methotrexate, which followed by full-term delivery in next ...
Lim A C - - 2011
OBJECTIVES: To review the literature on cervical length as a predictor of preterm birth in asymptomatic women with a multiple pregnancy. METHODS: We searched Medline, Embase and reference lists of included articles to identify all studies that reported on the accuracy of cervical length to predict preterm birth in asymptomatic ...
Song Ji-Eun - - 2011
Objectives. To evaluate whether cervical funneling influences pregnancy outcome in women with short cervical length (CL) after cerclage, and to identify funneling parameters associated with pregnancy outcome. Methods. Medical records of women identified to have a short CL with or without funneling after cerclage were reviewed. Women with short CL as well ...
Mimura Takashi - - 2011
Aim:  To investigate the association between the amount of bleeding during a cesarean section and the effacement of the uterine cervix in patients with placenta previa. Methods:  This study reviewed 115 singleton pregnancies with placenta previa. In cases of placenta previa, the thickness of the uterine muscle and cervical length ...
Lee Deug-Chan - - 2011
The cervical mucus plug (CMP) differs from the cervical secretions of non-pregnant women, and is the ultimate sealant of the uterine cavity during pregnancy. Although several studies have analyzed biochemical properties of large glycoproteins in the CMP, comprehensive information about its protein composition is yet unavailable. We hypothesized that protein ...
Crane Joan Mg - - 2011
OBJECTIVE: To determine if high risk asymptomatic women with a short cervical length in their previous pregnancy who delivered at term are at an increased risk of having a short cervical length in the next pregnancy, and whether they are at an increased risk of preterm birth. METHODS: This retrospective ...
Demirci Oya - - 2011
Aim:  To study the relationship between cervical lengths measured by ultrasound and risk of preterm delivery. Material & Methods:  We examined 209 women with singleton pregnancies. The inclusion criteria were women who presented with regular and painful contractions (≥2 contractions at intervals of 10 min for at least 1 h). Transvaginal scan ...
March Charles M - - 2011
Asherman's syndrome is being diagnosed with increasing frequency. Although it usually occurs following curettage of the pregnant or recently pregnant uterus, any uterine surgery can lead to intrauterine adhesions (IUA). Most women with IUA have amenorrhea or hypomenorrhea, but up to a fourth have painless menses of normal flow and ...
Bartosch Carla - - 2011
A report on a difficult case of first trimester pregnancy bleeding in a 39-year-old woman solved by hysterectomy. The diagnosis was clarified by pathological examination that showed a cervical ectopic pregnancy with perforation.
Dilek Talat Umut Kutlu TU Department of Obstetrics and Gynecology, School of Medicine, Mersin University, Mersin, Turkey. - - 2011
To evaluate the value of sonographic measurement of cervical length as a predictor of abortion or delivery within 24 h by misoprostol in second trimester termination of pregnancy (TOP). One hundred and sixty-three women underwent TOP between 14 and 26 weeks of pregnancy due to various indications. The primary outcome ...
Kuon Ruben J RJ Department of Obstetrics and Gynecology of the St. Joseph's Hospital and Medical Center, Phoenix, AZ 85004, - - 2011
The purpose of this study was to determine whether optical methods can estimate cervix function during pregnancy and whether progestins modify this process. Photos of the external cervix of timed-pregnant rats were taken every other day from day 13 until postpartum day 5 after daily treatments with vehicle (controls) or ...
Bevis Kerri S - - 2011
The current body of literature concerning cervical conization and its effect on subsequent pregnancy outcome is conflicting. Depending on the type of conization procedure that is examined and the quality of the control group, the results and conclusions vary widely. Because treatment for cervical intraepithelial neoplasia is commonplace among women ...
Armarnik Sharon - - 2011
OBJECTIVE: The purpose of the present study was to examine obstetric outcome of patients following conization and specifically the risk for preterm delivery (PTD). METHODS: A population-based study was performed comparing pregnancies in women following conization with those who had not undergone the procedure. Stratified analysis, using a multiple logistic ...
Bianchi Paola - - 2011
OBJECTIVE: To present a case of successful management of a heavily bleeding cervical ectopic pregnancy with ultrasound-guided termination procedure of evacuation. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 34-year-old woman, secundigravida with one previous full-term natural childbirth and history of one spontaneous abortion, with a cervical pregnancy. INTERVENTION(S): Prophylactic ...
Brucato Antonio A Internal Medicine, Ospedali Riuniti, Largo Barozzi, Bergamo, Italy. - - 2011
Anti-Ro/SSA antibodies are associated with neonatal lupus (congenital heart block (CHB), neonatal transient skin rash, hematological and hepatic abnormalities), but do not negatively affects other gestational outcomes, and the general outcome of these pregnancies is now good, when followed by experienced multidisciplinary teams. The prevalence of CHB, defined as an ...
Schwentner Lukas - - 2011
We report a 28-year-old woman presenting with a complete hyaditiform mole localized to the cervix. She had undergone curettage of missed abortion two months previously and the aborted material showed normal placental tissue on histopathologic examination. Two months after curettage she presented with sudden severe vaginal bleeding. Clinical examination revealed ...
Akins Meredith L - - 2011
A greater understanding of the parturition process is essential in the prevention of preterm birth, which occurs in 12.7% of infants born in the United States annually. Cervical remodeling is a critical component of this process. Beginning early in pregnancy, remodeling requires cumulative, progressive changes in the cervical extracellular matrix ...
Olivera-Muzante J - - 2011
The objective was to compare the reproductive performance of a new PGF(2α)-based timed artificial insemination (TAI) protocol in sheep (Synchrovine®: two doses of PGF(2α), 7 d apart) to a traditional progesterone-eCG (P4-eCG) protocol, considering the effects of seminal state, AI-times, and AI-pathway. Three experiments involving 1297 multiparous Australian Merino ewes ...
Zakaria Mark A - - 2011
OBJECTIVE: To evaluate the use of uterine artery embolization (UAE) in conjunction with methotrexate in the conservative treatment of cervical ectopic pregnancy (CEP). DESIGN: Case series. SETTING: Tertiary-care university hospital. PATIENT(S): Cases of CEP treated at Hutzel Women's Hospital between January 1997 and December 2008. INTERVENTION(S): Multidose methotrexate treatment with ...
Tam K F - - 2011
OBJECTIVES: The objective of the study was to determine the prevalence and clinical significance of atypical glandular cells (AGC) or atypical glandular cells of undetermined significance (AGUS) diagnosed in pregnant and postpartum women. STUDY DESIGN: Smears having a diagnosis of AGC or AGUS, taken from pregnant and postpartum (within six ...
Gillis JoAnn Zell - - 2011
Systemic lupus erythematosus (SLE) primarily affects women of reproductive age. Here we summarize the scientific evidence supporting recently developed quality indicators (QIs) pertaining to reproductive health. We used a modification of the RAND/UCLA Appropriateness Method to develop QIs for SLE. We performed systematic reviews of the literature pertaining to each ...
García-Pintos C - - 2011
A new intravaginal device DICO (Dispositivo Intravaginal Caprino Ovino, 0.3g progesterone; Syntex, Buenos Aires, Argentina) consisting of a progesterone impregnated medical silicone was developed for oestrus synchronization in sheep and goats. The effectiveness of this device to control serum progesterone concentrations, follicular development and time of ovulation has been recently ...
Dos Santos-Neto P C - - 2011
The new intravaginal device DICO (Dispositivo Intravaginal Caprino Ovino, 0.3mg progesterone, Syntex, Buenos Aires, Argentina) is effective in controlling serum progesterone concentrations, follicular development and time of ovulation in sheep, even in its second use after 6 days of treatment (Vilariño et al. 2010 Small Rumin. Res. 91, 219-224). The ...
Mbah Anthony U - - 2011
The mounting evidence linking hypothyroidism during pregnancy with poor pregnancy outcome underscores the need for screening and, therefore, a search for more reliable and cheaper screening methods. The study was conducted in two phases. The phase one study comprised of healthy women in different stages of pregnancy who attended routine ...
Shin Mi-Young - - 2010
To evaluate pregnancy outcomes after electrosurgical conization. We retrospectively analyzed the outcomes of 56 singleton pregnancies after electrosurgical conization of the uterine cervix. Of the 56 cases, 25 women underwent prophylactic cerclage with McDonald procedure (cerclage group), and 31 were managed expectantly (expectant group). Pregnancy outcomes including rate of preterm ...
Werner Erika F - - 2010
OBJECTIVE: To determine whether routine 2(nd) trimester transvaginal cervical length ultrasound in low risk singleton pregnancies is a cost-effective strategy. METHODS: We developed a decision analysis model to compare the cost-effectiveness of two strategies to identify pregnancies at risk for preterm birth: 1) no routine cervical length screening and 2) ...
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